Mortgage Enquiry
Name 1:
Name 2:
D.O.B. 1:
D.O.B. 2:
Last 3 year's addresses:
Best time to contact:
Telephone (Home):
Telephone (Wk/Mob):
Email Address:
First Person:
Occupation:
Time in job (Years):
Employment:
Employed Self-Employed
Main Income (£):
Other Income (£):
Second Person:
Occupation:
Time in job (Years):
Employment:
Employed Self-Employed
Main Income (£):
Other Income (£):
Purchase or Re-Mortgage:
Purchase Re-Mortgage
Advance Required (£):
Present Mortgage (£):
Current Lender:
Value/Purchace Price (£):
Term Required (Years):
Interest Only/Repayment:
Interest Only Repayment
Additional Info:
I have read, understood and agree to the Data Protection Declaration:
Yes No
I agree to further contact as described in Our Future Relationship:
Yes No
For a more accurate quote, please fill in as many fields as possible.


YOUR HOME MAY BE REPOSSESSED IF YOU DO NOT KEEP UP REPAYMENTS ON YOUR MORTGAGE.

Data Protection Declaration

Aim4Mortgages and Home of Choice Ltd will process all information in accordance with the Data Protection Act 1998 and it will be treated as private and confidential now and in the future. The only exceptions to this will be when the law requires us to disclose information or, with your consent, where disclosure is necessary when arranging or servicing your mortgage or protection contracts.

To fulfill our regulatory obligations, we will retain copies of your records for no longer than is necessary or for the duration of any contract you may enter into. You have the right to inspect these records at any time.

Our Future Relationship

Our ongoing business relationship with you is important and we would like to be able to contact you by telephone, post or email from time to time to review your mortgage and associated protection product arrangements and introduce other services that may be of interest to you from ourselves or our associated companies.